TRI-COUNTY COMMUNITY ACTION AGENCY INC. NPI 1881360022

NPI Information

NPI: 1881360022
Provider Name: TRI-COUNTY COMMUNITY ACTION AGENCY, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 31D0897832

Address:
110 COHANSEY ST
BRIDGETON, NJ
ZIP 08302
Phone: (856) 497-6650
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TRI-COUNTY COMMUNITY ACTION AGENCY, INC. is a mental health (including community mental health center) clinic center in Bridgeton, NJ. TRI-COUNTY COMMUNITY ACTION AGENCY, INC. NPI is 1881360022. The provider is registered as an organization entity type.

The provider's business location address is:

110 COHANSEY ST
BRIDGETON, NJ
ZIP 08302-922
Phone: (856) 497-6650

The provider's authorized official is Ashlee Todd .
The authorized official title is Mental Health Director and has the following contact phone number (856) 497-6650.

The CLIA number assigned to this NPI record is 31D0897832 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2021 and was last updated on 8/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 5/5/2024

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